LEARN NUCLEAR MEDICINE
Gastrointestinal · Case 06
Read the history, inspect the study, then reveal the teaching.
IMAGE PLACEHOLDER · Diagnostic study
Original study · Companion image placeholders
Clinical history
63 y/o female presents with a RUQ pain post laparoscopic cholecystectomy. HIDA scan is ordered to rule out biliary leak.
Read the images before opening the teaching panel below.
Metastatic disease, contrasted CT was recommended and provided below.
Imaging Findings
Heterogeneous activity in the liver with normal excretion into bowel and gallbladder.
Essential Facts
More common than primary liver cancer. Most common sources of metastasis are from the colon, pancreas, lung, and breast carcinomas.
References
Oliva, Maria Raquel, and Sanjay Saini. “Liver Cancer Imaging: Role of CT, MRI, US and PET.” Cancer Imaging : the Official Publication of the International Cancer Imaging Society, e-MED, 2 Apr. 2004, www.ncbi.nlm.nih.gov/pmc/articles/PMC1435346/.